Legal and Privacy
Online Privacy Statement
Whether you are a current customer or just visiting our website, we are committed to maintaining the confidentiality of the information you provide in the same way that we protect it when you provide it to us over the telephone, in person or through the mail.
Read the full Online Privacy Statement
Legal Disclaimer
The Dearborn Group companies (Dearborn Life Insurance Company; Dearborn National® Life Insurance Company of New York; Dental Network of America®, LLC; and Dentemax®, LLC), subsidiaries of Health Care Service Corporation, a Mutual Legal Reserve Company, have made every effort to present the information contained on this site accurately, but additions, deletions and changes may occur. The Dearborn Group companies have no obligation to update this site and any information presented may be out of date and may contain inaccuracies or errors.
Read the full Legal Disclaimer
Customer Privacy Notice
Your private records and those of your covered family members are safe with us. We have a longstanding policy that maintains the confidentiality of your personal data necessary to administer insurance and to provide service.
Read full Customer Privacy Notice
California residents can read our California Consumer Privacy Act (CCPA) information here.
Privacy Forms
You have certain rights related to your privacy. To make a request regarding these rights, use a privacy form below. Complete and sign the form, then mail it to the address shown on the form.
Standard Authorization Form with Instructions
Use this form to ask Dearborn Group to share your protected health information (PHI) with a certain person or entity.
Request PHI Records
Use this form to ask Dearborn Group for a copy of your PHI records.
Request to Amend PHI
Use this form to ask Dearborn Group to update your PHI.
Response to Denied Amendment
If you had a request to update your PHI denied by Dearborn Group, use this form. You can ask that the original request and the denial be attached to future disclosures of your PHI.
Confidential Communications Request
Do you feel your life could be in danger if you get mail at your current address? Use this form to ask Dearborn Group to restrict your PHI and communicate with you at an alternate location.
Restriction Request
Use this form to ask Dearborn Group to restrict your PHI from being used or shared with another person or non-covered entity under HIPAA.
Privacy and Security Complaint
Use this form to file a privacy or security complaint with Dearborn Group.